| NPI | 1710356233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42925) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: CA 42925) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2020-02-25 |